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General NPI Number Information
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NPI Number | 1780015974
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Entity Type | Individual
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Provider Name | TAMMI JOANN CARTER ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 1600 LAKELAND HILLS BLVD WATSON CLINIC
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City | LAKELAND
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State | FL
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Zip | 33805
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Country | US
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Telephone | 863-680-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 468 ARCHAIC DR
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City | WINTER HAVEN
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State | FL
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Zip | 33880-1676
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Country | US
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Telephone | 863-698-0814
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3172402
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License Number State | FL
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